First Healthcare Compliance CONNECT March 2022

CONNECT
March 2022
A Monthly Publication for the Healthcare Compliance Community
FAQ Corner:
How should we handle employees
who won’t complete training as
assigned?
Infographic:
Compliance Tips for Healthcare
Board Members
Hardware Hacking
in Healthcare:
Expert Insights
Healthcare Compliance Policies:
Best Practices for Management
and Distribution
Delaware Law School and First
Healthcare Compliance Announce
Presenters for 5th Annual
Healthcare Compliance
Symposium
1st Talk Compliance:
Healthcare and Technology
Negotiations

Got a Minute? Please Rate Us!
The health of our company depends on the members
of our community spreading the word about us.
Share Your Success Story
An endorsement by you is the greatest compliment
we could receive! Please take a moment of your time
to rate us online so that others can benefit from your
experience. It’s a simple way to help us grow and
improve.
We appreciate your support and look forward to
hearing from you!
In This Issue:
Compliance Super Ninja
FAQ Corner: How should we handle employees
who won’t complete training as assigned?
Infographic: Compliance Tips for Healthcare
Board Members
Hardware Hacking in Healthcare:
Expert Insights
2
First Healthcare Compliance, LLC © 2022

Compliance Super Ninja
Jennifer Colucciello
Compliance Officer/Operations Director
Kidney Care Specialists, LLC
How would you describe your experience with First Healthcare Compliance?
The 1stHCC platform has helped make tracking extremely easy, especially since we have 4 very different
divisions. This platform has allowed for streamlining of compliance items and tracking. Having updates
made due to new regulations is relatively quick and painless which helps us maintain compliance as new
requirements are instituted. Definitely helps us stay compliant while doing so efficiently!
What do you enjoy most about working with Kidney Care Specialists, LLC?
Nephrology itself has such a huge impact on our patients and their caregivers. The KCS team is highly
motivated and dedicated to treating our patients in the best way possible with the best care possible! Truly an
honor to be part of this team!
Would you rather read an awesome book or watch a good movie? Why?
Definitely a book! Helps my entire mind escape for a bit to another time and place :)
Healthcare Compliance Policies:
Best Practices for Management and
Distribution
1st Talk Compliance: Healthcare and
Technology Negotiations
Delaware Law School and First Healthcare
Compliance Announce Presenters for 5th
Annual Healthcare Compliance Symposium
Contact Toll Free: 888-54-FIRST 3

FAQ Corner
How should we handle employees who won’t complete training as assigned?
Compliance should be a condition of employment. And as part of the Code of Conduct sample we provide,
employees are required to complete compliance training. Employers may wish to enforce their training
requirements through discipline. Discipline may include a verbal warning, written warning, suspension, up
to and including termination. Of course, if your organization has a progressive discipline policy, it must be
followed when disciplining employees (we provide a sample compliance program disciplinary action policy
within the Compliance Policies and Procedures Sample). It is also important to be consistent in meting out
discipline so as not to run afoul of discrimination laws.
Explore the FAQs tab in your compliance solution
to find answers to your compliance questions!
CLIENT
ALERT
The Most Comprehensive
Healthcare Compliance Course
The Fundamentals is a user-friendly, four-module
online course designed to help healthcare professionals
understand the essential principles and practices of
compliance.
BUY COURSE NOW
4
First Healthcare Compliance, LLC © 2022

Contact Toll Free: 888-54-FIRST 5

Hardware Hacking in Healthcare:
Expert Insights
Catherine Short
John Shegerian, Co-Founder, Chairman and
CEO of ERI recently shared expert insights in
the presentation, The Insecurity of Everything:
Hardware Hacking Trends.
Data security regulations now exist in all fifty states,
federally, and internationally. Risks are universal as
all businesses and individuals including healthcare
professionals utilize devices that retain data that
becomes vulnerable to cybercriminals. The healthcare
industry and hospitals are increasingly at risk for
ransomware and other types of cyberattacks. Several
recent examples illustrate the risks and repercussions
that result from a combination of inadequate resources
and a lack of clear and effective cybersecurity guidelines.
The pandemic has amplified many of the cyber risks
associated with breaches and hardware hacking in
healthcare. According to Shegerian, “Many of you are
working from home or working in some sort of hybrid
situation. We’ve learned that due to COVID, people
started working for home without all the guardrails that
are typically set up by CTOs in hospitals and healthcare
settings. Workers at home unfortunately, started using
their personal hardware, tablets, cell phones, laptops,
desktops, for business
purposes, and their
business hardware, for
personal purposes, it
just happens when we
have time crunches,
when something breaks
down, and we must go
to a backup plan. That
means there’s a cross
contamination when data from one platform gets on to
another. There’s a cross contamination of your personal
data onto your professional hardware. And vice versa.
This means if you work for a healthcare organization, or
agency, and you believe there’s a chance that you’ve
had cross contamination, which I’d be shocked if there
wasn’t please adhere to the protocols provided by your
Chief Technology Officer. Make sure data and devices are
responsibly destroyed when it comes to end of life, not
put on eBay or Craigslist.”
To learn more, please stay tuned for John’s future
podcast with host Catherine Short on 1st Talk
Compliance.
6
First Healthcare Compliance, LLC © 2022

Navigating Workplace Violence
Prevention Under OSHA
Workplace violence is a serious issue, especially in
healthcare facilities. The Occupational Safety and Health
Administration (OSHA) responded in 2015 by updating and
publishing their guidelines on how to best prevent workplace
violence. The OSHA workplace violence prevention
guidelines help employees and employers alike by providing
the necessary steps to maintain a safe work environment.
DOWNLOAD NOW
COVID-19 Healthcare
Compliance Updates
In response to the global outbreak of the novel coronavirus
disease (COVID-19), the Secretary of Health and Human
Services declared a public health emergency on January 31,
2020. Federal agencies have taken action by issuing updates
and guidance to navigate the crisis. This ebook provides
healthcare providers with important developments and
resources that impact federal healthcare laws.
DOWNLOAD NOW
Contact Toll Free: 888-54-FIRST 7

Healthcare Compliance Policies:
Best Practices for Management
and Distribution
First Healthcare Compliance Staff
Purposes of Policies in Healthcare
Organizations
Many healthcare organizations operate under a
comprehensive set of policies and procedures that
address a wide range of compliance-related issues,
including physician relationships, conflicts of interest,
OSHA and HIPAA Privacy and Security. These
policies and procedures should be available to every
employee and provider.
Specific standards set by an entity as well as the
elements of an effective compliance program
provided by OIG/HHS offer frameworks for roles and
committees to ensure consistency and integration
of compliance activities and the effectiveness of the
overall compliance program.
A well-managed set of policies is critical to the wellbeing
of any healthcare institution. Proper policies
support activities by communicating expectations,
establishing a culture of compliance, protecting
in litigation matters, and ensuring the welfare of
patients and staff.
Important purposes of policies in the healthcare
setting include:
1. Provide the framework for the key elements of
the compliance program
2. Promote and support ethical behavior among
staff
3. Exhibit commitment to compliance and all
regulations governing the organization
Management and Distribution of
Healthcare Compliance Policies
In addition to creating, communicating, and
maintaining policies within a healthcare organization,
it is imperative to take steps to manage and
distribute the policies effectively.
1. Assign Responsibility
An individual should be responsible for managing
policies within the healthcare organization.
Depending on the size of the entity, it may be
either a full or part time position.
8
First Healthcare Compliance, LLC © 2022

2. Control Access
For the purposes of efficiency and privacy and
security, the administrator should have full
control when it comes to providing access for
reading and editing policies.
3. Track Policy Updates
Tracking policy changes becomes a necessity
to provide accurate information to compliance
questions or auditors.
First Healthcare Compliance offers several solutions
that provide customizable sample Policies and
Procedures. In addition, our Document Storage zone
allows compliance personnel to upload, organize
and distribute documents via the Training Zone for
employee attestation. To learn more contact us
today!
C. Trey Scott, Coordinating Attorney at
Kennedy, Attorneys & Counselors
Compliance
at Law
Toolkit
will present Under Pressure: Reporting
Appeals for the Fifth Circuit.
Requirements with OCR for Breaches at the
upcoming Virtual
Healthcare
HIPAA
compliance
Privacy and Security
amidst COVID-19 presents new challenges
for hospitals and healthcare providers. At top importance is the
Summit 2021 on November 18.
Summit!
question of how to slow or stop the spread of COVID-19, while
Trey received his Bachelor ensuring of Science and that Master your of organization stays compliant.
Business degrees from Texas Tech University and his
Juris Doctorate from Texas Now more Wesleyan than University ever, your School compliance department needs to have the
of Law (now Texas necessary A&M University tools to School help of track, Law.) analyze, While and respond to compliance challenges.
in law school, Trey To was help a member navigate of the arbitration process, we’ve gathered our best COVID-19 resources
competition team as well below. as a student If you bar need association further assistance, please contact us here.
representative. He also was a law clerk to the 106th
District Court of the State of Texas. Trey has significant
experience in healthcare law. This experience includes:
COVID-19 Healthcare
VIEW TOOLKIT
United States District Courts for the Northern, Southern,
Eastern, and Western Districts of Texas. Trey is also
licensed to practice before the United States Court of
Click here for more information or to register for the
medical malpractice litigation, administrative and
regulatory appeals and disputes, professional board
matters, and overpayment disputes. Trey is licensed to
practice law before Texas State Courts as well as the
Contact Toll Free: 888-54-FIRST 9

Delaware Law School and
First Healthcare Compliance
Announce Presenters for
5th Annual Healthcare
Compliance Symposium
April 28, 2022
Catherine Short
Attorneys and experts from various
specialties and firms throughout the United
States will serve as instructors for the
educational event.
WILMINGTON, Del. (PRWEB) January 30, 2022 --
The 5th annual Healthcare Compliance Symposium
will be offered virtually. A broad range of timely
topics will be covered including HIPAA, OSHA,
Fraud, Waste and Abuse, Ethics, human resources
compliance, and current challenges related to
COVID. Attorneys, compliance officers, managers,
nurses, medical assistants, healthcare professionals,
business associates, and students are encouraged to
attend. This convenient online learning event offers
multiple CEUs and CLE in Delaware, New Jersey, and
Pennsylvania.
Attorneys and experts listed below from various
specialties and firms throughout the United States
will serve as instructors for the educational event:
• Stephen D. Bittinger, Esq.
• Emily Johnson, Esq.
• Kathleen W. McNicholas, MD, JD, CHC, CCEP
• Elizabeth Sullivan, Esq.
• Rachel V. Rose, JD, MBA
• Lauren Moak Russell, Esq.
• Catherine Walters, Esq.
The symposium is a joint effort to provide resources
for professionals facing the challenges of the everchanging
healthcare industry. The event will be held
on April 28, 2022, with online access for virtual
attendance. Discounts apply for Delaware Law School
Alumni and clients of First Healthcare Compliance.
Learn more and register now.
About Delaware Law School: Widener University
is a metropolitan university that connects curricula
to social issues through civic engagement. Dynamic
teaching, active scholarship, personal attention,
applied leadership, and experiential learning are key
components of the Widener experience. Delaware
Law School is the First State’s only law school,
providing a Juris doctor, legal graduate and paralegal
10
First Healthcare Compliance, LLC © 2022

degree programs with an emphasis on developing
legal professionals who reflect the Delaware Way and
its traditions of civility, integrity and mutual respect.
The school offers signature programs in corporate
and business law, environmental law, family health
law and policy, trial advocacy, and dignity rights.
About First Healthcare Compliance: Founded
in 2012 by a nurse attorney, the First Healthcare
Compliance software solution creates confidence
among compliance professionals through education,
resources, and support in the areas of HIPAA, OSHA,
human resources compliance, and fraud waste and
abuse laws. Serving clients across the United States,
the company’s evolving platform provides real-time
insight for board reporting
For more information please visit
https://1sthcc.com/
Contact Information
Catherine Short
First Healthcare Compliance
http://1sthcc.com
302-416-4329
Healthcare
Compliance
Symposium
April 28, 2022
REGISTER NOW
Contact Toll Free: 888-54-FIRST 11

Risk Management Considerations for
the Healthcare Compliance Officer:
Training, Incident Management, Governing Boards,
and Measures Unique to COVID-19
It’s no secret that healthcare is one of America’s most heavily regulated
industries with substantial fines and penalties for non-compliance. Complex
regulations and mandates make compliance management a necessity.
Healthcare organizations particularly rely on the skills and attributes of their
compliance officer to navigate the expansive regulatory framework.
DOWNLOAD NOW
12
First Healthcare Compliance, LLC © 2022

Referral Appreciation Program
Receive a $50 gift card* when you refer a client!
First Healthcare Compliance is delighted to offer a Referral Appreciation
Program to say thank you for helping us to continue to grow. For each new 1st
Professional or 1st Premium client originating from a referral, First Healthcare
Compliance will provide a $50 gift card as a token of appreciation.
LEARN MORE
Contact Toll Free: 888-54-FIRST 13

hosted by Catherine Short
Catherine Short converses with Rachel V. Rose, JD, MBA, principal with Rachel V. Rose – Attorney at Law,
P.L.L.C., Houston, TX and Bruce J. Lynskey, Co-Founder at ePrevenir, on the topic of “Negotiations in
Healthcare and Technology.” Negotiating occurs in every facet of business and law. From contractual
negotiations through settlement negotiations, it is a delicate dance. There are a variety of classic negotiation
techniques, which include extreme posturing and “anchoring”. Healthcare and cybersecurity present unique
challenges because of the looming exposure to a government investigation and either a civil and/or criminal
action, even if a settlement is reached between two private parties. Here we will discuss approaches when
negotiating contracts, settlements, and other items, which arise in healthcare and the cybersecurity industries.
Listen weekdays at
7:30am, 3:30pm, 11:30pm ET
Check out our Show Page!
Looking for the latest compliance insights?
Subscribe to our feed and don’t miss a thing!
14
First Healthcare Compliance, LLC © 2022

WORD SEARCH
H J D O Q K Q N O I T A I C E R P P A Q
L R C Z I M A F X Q Y X M E A P D O I H
Y H W L W C R S T H G I S N I G Q F V M
R E E N O I T A N I M I R C S I D C M L
E A D W R M T T R A C K I N G M N Z T X
H L J J P A N Q G T F Z Q U D N Y H I E
N T P U A N E Z G R H S O K D X A D M F
I H Q V K Y D A E M P L O Y M E N T V K
I C R Q J D I J H H B J A Z Q M O P C K
K A P X P V C M A N A G E M E N T B U Z
P R E S P O N S I B I L I T Y R Y L T Y
O E I G N T I U S W C R I T I C A L H P
L L W J O T S V T S Y O M B Z R M N S U
I K G J D C H A L L E N G E S U V E O W
C C C O M P L I A N C E M U J I B H D N
I H S W J L A V H Q U L E O C Y F G E X
E M L X K T Z U R P I C C C I X J D L R
S A C S L I G J B W W L S J N Z F B S Z
D P T N P N S L A N O I S S E F O R P M
X V T T D P D Q F D G K L V G E G G H T
HEALTHCARE COMPLIANCE TRACKING
EMPLOYMENT DISCRIMINATION MANAGEMENT
INCIDENT APPRECIATION CHALLENGES
PROFESSIONALS DYNAMIC POLICIES
CRITICAL RESPONSIBILITY INSIGHTS
Contact Toll Free: 888-54-FIRST 15

Upcoming and On-Demand Webinars
Training
APR 7, 2022
DMEPOS - CMS Compliance and Requirements Updates
Register
APR 28, 2022 Virtual Healthcare Compliance Symposium 2022
Register
ON DEMAND Employment and Labor Law Round-up With 2022
Forecast and Other HOT Topics
All Upcoming Webinars
All On Demand Webinars
IMPORTANT
In the interest of your security, login credentials are
for individual use only and not to be shared. Please
contact Client Services if you require additional
manager level users and/or if there has been a
change in contact information.
COVID Vaccination Status/ COVID
Testing - Additional fields have been
added to assist you with tracking
COVID vaccination and COVID Testing. Contact Client
Services if you have any questions or
would like to turn COVID alerting off.
CLIENT
ALERT
NEW FEATURES!
Employee Zone/Compliance Detail
Initial Data - Free text comment field has been
added.
Join us on Social Media!
Contact our Client Services Team with your questions!
888.54.FIRST or clientservices@1sthcc.com
16
First Healthcare Compliance, LLC © 2022